Today was rainy and cold (just like yesterday), so I was 15 min late getting to the clinic. I called Michelle ahead of time to let her know I'd be late, but she predicted that I'd still get to the clinic before Dr. KB did (she was right). We had a fairly busy morning with back-to-back well women exams that set us behind by more than an hour. If Melanie was here, she could have helped see patients, but Wednesdays are her day off, so we were stuck. Somehow we managed to see everyone by 12:50, which gave Dr. KB enough time to get her massage with Chris. Meanwhile, I ate lunch in the back room, where Michelle and Heather were teasing Melissa for having a crush on one of the patients (Michelle had actually told him Melissa liked him. His response: "Tell her I'll be back in 3 weeks.") It was pretty funny.
We had three manip cases today, two of which involved sacral disorders. In the morning, we had a lady whose sacrum had a shear so bad that her coccyx was literally pointing toward her right knee (VERY lopsided). In the afternoon I took David with me to see the manip patients. Our first manip patient had a really jacked-up sacrum that has tender and rockhard to springing (hint: NON-NEUTRAL), and the left sacral base was much higher than the right sacral base. There was an indentation difference of at least one cm. It was clear this was not a simple shear. Dr. KB sent me to her office to find an OMM reference book, but I never found it (I did, however, get hugged by Max, her Australian shephard, who stays in her office during the day). By the time I got back, the patient had been treated. Our last patient had a huge ropy muscle spasm down the side of her left back, but I managed to pop one of her ribs successfully with the Kirksville crunch. Who knew I could crunch anyone? =P
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